MR. ELI KASSIS
NPI 1851720049
Counselor - Mental Health in Johnson City, NY

Q: What is Eli Kassis's NPI number?

The NPI number for Eli Kassis is 1851720049. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Q: What is Eli Kassis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Eli Kassis was last updated on November 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2013PECOS EnrolledAccepts Medicare Assignment

15 RIVERSIDE DR, JOHNSON CITY, NY 13790(607) 222-2928 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Eli Kassis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELI KASSIS (NPI 1851720049) is an individual mental health provider in Johnson City, New York, licensed in New York (005760) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Marymount University (2009).

NPPES Registry Identity

NPI1851720049

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. ELI KASSIS

Location Address15 RIVERSIDE DRJohnson City, NY 13790-2742

Mailing Address15 Riverside DrJohnson City, NY 13790-2742 · (607) 222-2928

Phone(607) 222-2928

Sole ProprietorYes

Medical School CMSMarymount UniversityGraduated 2009

Enumeration DateNovember 7, 2013

Last NPPES UpdateNovember 23, 2022

NPPES CertifiedNovember 23, 2022

✔ NPI 1851720049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 005760

15 RIVERSIDE DR, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eli Kassis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103267562

PECOS Enrollment IDI20250422001028

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY SUJANA KANTHARAJ RPA-C

Physician Assistant (Medical)